Payment Verification - Bontrager Auction

Payment Verification Form

This form authorizes one-time use of the payment information entered here, utilizing Authorize.net point of sale hardware in our auction office, separate from information maintained in your Hibid.com account. It includes merchandise and/or shipping charges for one use only and will not be stored for future charges. Changes to your Hibid.com payment information must be completed by logging into your Hibid.com account.

Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
Upload picture of front of credit card:*
Accepted file types: jpg, png, pdf, Max. file size: 20 MB.
Upload picture of back of credit card:*
Accepted file types: jpg, pdf, png, Max. file size: 20 MB.
Upload picture of driver's license:*
Accepted file types: jpg, pdf, png, Max. file size: 20 MB.
Consent*
I agree to allow Bontrager Auction Service charge my credit card for my auction purchase and shipping. I understand that Bontrager Auction Service staff will be verifying my name and address with my credit card company. A signature will be required for any items shipped.
CAPTCHA
Name
This field is for validation purposes and should be left unchanged.